| Randolph County Eye Care Center Pc | |
|
Rt 250/219 Chenoweth Creek Rd, Elkins, WV 26241 | |
| (304) 636-3887 | |
| (304) 636-0538 |
| Full Name | Randolph County Eye Care Center Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | Rt 250/219 Chenoweth Creek Rd, Elkins, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780779835 | NPI | - | NPPES |
| 0012694000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | WV93800 (West Virginia) | Primary |
| Provider Name | Jenna L Gongola |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194810242 PECOS PAC ID: 3072534429 Enrollment ID: I20110128000015 |
| Provider Name | Kevin Robert Lambert |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194379479 PECOS PAC ID: 5193056117 Enrollment ID: I20191004003100 |
| Mailing Address | Practice Location Address |
|---|---|
| Randolph County Eye Care Center Pc Po Box 1489, Elkins, WV 26241 Ph: (304) 636-3887 | Randolph County Eye Care Center Pc Rt 250/219 Chenoweth Creek Rd, Elkins, WV 26241 Ph: (304) 636-3887 |
Joseph L Trupo Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1506 Harrison Ave, Elkins, WV 26241 Phone: 304-636-2020 Fax: 304-636-5911 | |
Hunt Eye Care Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: Rr 2 Box 181-2, Elkins, WV 26241 Phone: 248-528-1981 | |
Eye Works Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 1506 Harrison Ave, Elkins, WV 26241 Phone: 304-636-2020 Fax: 304-636-5911 | |
Kevin Robert Lambert, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 205 Chenoweth Creek Rd, Elkins, WV 26241 Phone: 304-636-3887 | |
Jenna Louise Gongola, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: Rt 250 219 Chenoweth Creek Rd, Elkins, WV 26241 Phone: 304-636-3887 Fax: 304-636-0538 | |
Joseph L Trupo, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1506 Harrison Ave, Elkins, WV 26241 Phone: 304-636-2020 Fax: 304-636-5911 | |
Dr. Sheena H Hunt, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1506 Harrison Ave, Elkins, WV 26241 Phone: 304-636-2020 Fax: 304-636-5911 |